Pauta de insulina móvil intensiva vs pauta bolo-basal en pacientes diabéticos tipo II hospitalizados
Creators
- 1. Medicina Familiar y Comunitaria. Hospital Universitario 12 de Octubre
Description
La pauta móvil de insulina añadida a la pauta bolo-basal en forma de escala correctora, se ha asociado a menor morbimortalidad en pacientes diabéticos tipo II hospitalizados en planta convencional. Sin embargo, conlleva mayor probabilidad de hipoglucemia iatrogénica y complejidad en su administración, por lo que se podría inclinar la balanza a favor del uso de una pauta bolobasal menos rígida en pacientes con hiperglucemia moderada.
The intensive sliding scale insulin treatment added to the bolus-basal regimen in the form of a corrective scale leads to less morbimortality in non-ICU patients with type 2 diabetes. However, it brings higher probability of iatrogenic hypoglycemia and a more complex administration. Therefore, the basal-bolus insulin regimen could be a better option in patients with moderate hyperglycemia.
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Additional details
References
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